We would fully recommend Dr. Elguero to anyone who wants a knowledgeable, experienced, and compassionate fertility specialist...was up front about pros and cons to help us in decision making on how to proceed with possible treatment routes, and was compassionate and supportive when we experienced two pregnancy losses along the way....adjusted treatment appropriately. The end result is our perfect, beautiful daughter. We can't recommend her highly enough.
The strength of Boston IVF-Albany is its incredible staff. We worked primarily with Dr. Elguero and our nurse Michelle, Caitlin the acupuncturist, Amy the NP, Ana in finance, the ultrasound techs (especially Julia), and even the front desk staff were supportive, friendly, helpful, and kind...This is NOT a cookie cutter clinic--they really view each patient individually and adjust to give you the best shot at the outcome you're looking for. Last, the clinic is busy, so just be aware that there is strong demand for appointments.
How was your experience with Sonia Elguero at Boston IVF - The Albany Center?
We would fully recommend Dr. Elguero to anyone who wants a knowledgeable, experienced, and compassionate fertility specialist. She always clearly explained all lab/test results and what those results meant for potential treatments, was up front about pros and cons to help us in decision making on how to proceed with possible treatment routes, and was compassionate and supportive when we experienced two pregnancy losses along the way. She also looked very carefully at the causes of those losses, explained her takeaways to us, and adjusted treatment appropriately. The end result is our perfect, beautiful daughter. We can't recommend her highly enough.
What's one piece of advice would you give a prospective patient of Sonia Elguero at Boston IVF - The Albany Center?
This isn't really specific to Dr. Elguero, more general advice to anyone going into fertility treatment: 1) Do basic research about IVF--listen to podcasts, read articles, and get to know the terms and general process, as you'll be better equipped to ask good questions and have productive conversations with your doctor. Reproductive medicine is complex, and having some basic knowledge will help you feel more involved in the process. 2) Set realistic expectations. Whether IUI, IVF or other treatments, these are not foolproof and no one is 100% guaranteed success. It may take several rounds of treatment, and there may be additional information uncovered throughout treatment that can inform how you go forward. This is one of the hardest things you'll ever go through, but having realistic expectations will help.
During treatment, were you treated like a number or a human with Sonia Elguero at Boston IVF - The Albany Center?
Dr. Elguero, as well as the nursing staff, always took the time to explain each step of the process to us and gave what we felt were very honest and clear assessments of our possible outcomes, but did so with a warm manner. Dr. Elguero clearly explained our treatment plan, dosages, and outcomes, and explained why she had chosen those for me specifically. It did not feel like a "cookie cutter" approach at all--I knew why she chose treatments for me and why. Dr. Elguero always explained our options fully including the potential pros and cons of each, but let us make the ultimate decision on how to proceed. Finally, Dr. Elguero and her staff were very supportive when we went through two losses along the way to our baby girl arriving--they truly were our champions and partners throughout the process.
Describe the protocols Sonia Elguero used in your cycles at Boston IVF - The Albany Center and their degree of success.
Egg retrieval #1 used a combination of Follistim and Menopur. I went in every other day for bloodwork and ultrasound to monitor follicle growth, and Dr. Elguero adjusted my doses accordingly throughout the cycle to optimize follicle growth. Eventually, we added Ganirelix to prevent early ovulation, and then triggered with HCG. This cycle resulted in 8 eggs retrieved. All 8 eggs fertilized, and 4 of the embryos made it to day 5 with good quality grades, along with a 5th morula, all of which were frozen for later use.
Transfer #1 and Outcome: Resulting from the transfer above, we transferred one fresh day 5 embryo and froze the remaining 4. This resulted in a positive pregnancy test. Dr. Elguero did add intramuscular progesterone after the positive beta as my progesterone levels were borderline. Ultimately this pregnancy ended at 8 weeks and was diagnosed as a blighted ovum. We decided not to test the remains for genetic abnormalities as it was a first miscarriage and quite early.
Frozen Transfer #1: After recovery from the blighted ovum, we transferred another high grade embryo from the first retrieval cycle. This resulted in another positive pregnancy test, but another miscarriage at 12 weeks. After discussion with Dr. Elguero, we did test the remains from this pregnancy which revealed the fetus had trisomy 18, and thus was unlikely to have ever gone to term.
Egg Retrieval #2: This retrieval also used a combination of Follistim and Menopur, but was started at a higher dose based on the results of the previous retrieval with the rationale being that my previous good response might mean that we could get more eggs. Again, we added ganirelix later to prevent early ovulation and triggered with HCG. This retrieval resulted in 7 eggs, 5 of which fertilized and 4 of which made it to day 5. We sent these embryos along with the 1 remaining from the previous cycle off for genetic testing (the morula did not survive thaw, which was knew was a possibility).
Genetic testing results: PGT-A testing showed that one embryo from Cycle 1 and one embryo from Cycle 2 were genetically normal, for a total of two genetically normal embryos.
Recurrent loss panel: After the second miscarriage, Dr. Elguero ordered a recurrent loss panel out of an abundance of caution. Though we knew the second miscarriage was due to the trisomy and the blighted ovum was also likely due to genetic causes, we wanted to be aggressive in ensuring we covered all bases. The recurrent loss panel showed that I had a slightly elevated clotting factor (anti-beta 2 glycoprotein).
Frozen transfer #2: We transferred the PGT-A normal embryo from our second retrieval cycle. This cycle resulted in a third positive pregnancy test. Due to the clotting factor revealed by the recurrent loss panel, Dr. Elguero had me initiate lovenox shots nightly with the positive beta. This transfer resulted in a normal pregnancy and the birth of my daughter.
Describe your experience with your nurse at Boston IVF - The Albany Center. (Assigned nurse: Michelle Cioffi)
My primary nurse was Michelle. She was always easy to get in contact with, called me quickly with any and all test results, and explained what they meant. Also, she always explained any changes in dosage clearly and thoroughly. Michelle really went above and beyond, clearly answering any of my questions quickly and clearly. I was and am very thankful to have had Michelle's help and support.
Describe your experience with Boston IVF - The Albany Center.
The strength of Boston IVF-Albany is its incredible staff. We worked primarily with Dr. Elguero and our nurse Michelle, Caitlin the acupuncturist, Amy the NP, Ana in finance, the ultrasound techs (especially Julia), and even the front desk staff were supportive, friendly, helpful, and kind. Their connection with the broader Boston IVF network also means they have the most innovative and up-to-date methods and resources.
If you come understanding the IVF process and with thoughtful questions, but also ready to really listen to the doctors, you will get specialized treatment that is tailored to support you. This is NOT a cookie cutter clinic--they really view each patient individually and adjust to give you the best shot at the outcome you're looking for.
Last, the clinic is busy, so just be aware that there is strong demand for appointments.
Describe the costs associated with your care under Sonia Elguero at Boston IVF - The Albany Center.
All services were covered by our insurance expect for genetic testing, for which we paid about $2300 for testing 4-6 embryos.
Describe Sonia Elguero's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Boston IVF - The Albany Center.
Dr. Elguero counseled us to transfer just one embryo as they were high quality and we knew after the first transfer that there did not appear to be any major issues with implantation. We had researched the higher risk of multiple pregnancies and fully agreed with Dr. Elguero that we would only transfer one embryo.